Selected Hospital Inpatient Admission Charge and Paid Data

Below please find the top 10 APR-DRGs for each Arizona hospital based on the Federal Fiscal Year 2012 AHCCCS inpatient managed care encounter data and fee-for-service claims data. Not all hospitals had at least 10 different DRGs in their data. The table displays the number of unique discharges, the average charge per discharge, and the average payment per discharge. The payment amounts reflect the actual payments made under the current AHCCCS inpatient tiered per diem payment methodology, but displays the procedures grouped into the appropriate APR-DRG for comparison purposes. (AHCCCS is transitioning to an APR-DRG methodology effective October 1, 2014). The data excludes encounters and claims for psychiatric services, same-day discharges, $0 paid claims, Medicare dual eligible members, transplant episodes and ungroupable DRGs.

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